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Page 1 of 2 New Preceptor×Clinical I instructor Application Form Clinical Training Site Information Site Name: Address: City: State: Zip: Phone Number: Fax Number: Contact Person and Job Title: Phone:
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How to fill out new preceptorclinical instructor application

How to fill out the new preceptor/clinical instructor application?
01
Start by carefully reading the instructions provided on the application form. Make sure you understand all the requirements and any specific guidelines for completing the application.
02
Begin by filling out your personal information accurately. This may include your name, contact information, and professional background. Double-check for any spelling or formatting errors before moving on to the next section.
03
Provide details about your current employment or affiliation with an institution. Include the name, address, and contact information of the organization where you are currently employed or affiliated. If you have multiple affiliations, make sure to include all relevant information.
04
Indicate your educational background. Include information about your degrees, certifications, and any relevant training you have completed. Be sure to provide accurate dates and institutions attended.
05
Describe your teaching experience. Highlight any previous teaching or precepting roles you have held. Provide details about the type of students you have worked with and the duration of your teaching experience. Emphasize any positive feedback or evaluations you may have received.
06
Explain your professional development activities. List any conferences, workshops, or continuing education courses relevant to teaching or precepting that you have attended. Provide dates and details of what you gained from these experiences.
07
Discuss any research or scholarly activities related to teaching or precepting. If you have conducted any research in the field of education or have published articles or books on the topic, include this information in this section.
08
Provide references who can attest to your teaching abilities. Include the names, titles, and contact information of individuals who can speak to your teaching skills and effectiveness. Make sure to choose references who are familiar with your teaching abilities and can provide a well-rounded perspective.
09
Review your completed application form for any errors or missing information. Make any necessary corrections before submitting the application.
Who needs the new preceptor/clinical instructor application?
01
Individuals interested in becoming preceptors or clinical instructors in a healthcare setting, such as hospitals, nursing homes, or educational institutions.
02
Current healthcare professionals seeking to expand their roles and contribute to the education and development of future healthcare providers.
03
Institutions or organizations responsible for the selection and approval of preceptors or clinical instructors, who require a standardized application process to assess the qualifications of potential candidates.
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